Elderly person dreaming of nature, representing sleep and rehabilitation.

Sleepless Nights in Rehab? How Sleep Quality Impacts Recovery

"Discover the surprising link between poor sleep during post-acute rehabilitation and increased mortality risk, and learn practical ways to improve sleep quality for better recovery."


We're living longer than ever, thanks to advances in healthcare and living standards. At the beginning of the 20th century, the average life expectancy was 47.3 years. One hundred years later, in 2000, it had increased to 77.5 years. But, with shorter hospital stays becoming the norm, more people than ever need post-acute rehabilitation to regain their strength and independence. This includes physical and occupational therapy and skilled nursing care.

Post-acute rehab can take place in various settings, from skilled nursing facilities (SNFs) to in-patient rehabilitation facilities (IRFs). While these facilities provide essential care, they also present unique challenges, especially regarding sleep.

A new study sheds light on the critical role sleep plays in the recovery of older adults in post-acute rehabilitation. The research highlights a concerning link between poor sleep quality and a higher risk of mortality. Let’s dive into why sleep is often disrupted in these settings and what steps can be taken to improve it, for better patient outcomes.

Why is Sleep So Bad in Rehab Facilities?

Elderly person dreaming of nature, representing sleep and rehabilitation.

It's no secret that hospitals and rehab facilities aren't exactly known for being peaceful places to catch some ZZZs. But the reasons behind poor sleep in post-acute care settings are more complex than just noisy environments. Many factors conspire to make it difficult for patients to get the rest they need.

First off, underlying sleep disorders are incredibly common. Studies show that sleep-related breathing disorders affect 20% to 25% of older adults. Comorbid conditions, such as congestive heart failure, atrial fibrillation, or diabetes, further elevate the risk of such sleep disturbances.

  • Unfamiliar Surroundings: New environments can trigger stress and anxiety, making it harder to fall asleep and stay asleep.
  • Environmental Factors: Excess noise and light pollution are common culprits, disrupting sleep patterns.
  • Healthcare Interruptions: Frequent nighttime checks, medication administration, and other necessary medical procedures can fragment sleep.
According to research by Schnelle and colleagues, loud noises from call bells, telephones, intercoms, and cleaning carts also significantly contribute to sleep disturbances in nursing homes.

Better Sleep, Better Recovery: What Can Be Done?

So, how can we tackle the issue of poor sleep in post-acute rehabilitation? The good news is that it's possible to make a real difference by prioritizing sleep and implementing evidence-based strategies.

The study by Martin and colleagues highlights the need for more research into sleep disorders among rehabilitation patients. Future studies should focus on specific sleep disorders such as sleep apnea and how they effect patient recovery. Objective or subjective assessment tools need to be developed that are robust enough to function in facility-based settings where older patients may have impaired cognitive function and recall of recent past events, such as their prior night's sleep.

Ultimately, creating a sleep-friendly environment and addressing individual sleep needs can significantly improve the recovery journey for older adults in post-acute rehabilitation. By making sleep a priority, healthcare providers can unlock the potential for better patient outcomes and improved quality of life.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.5665/sleep.1418, Alternate LINK

Title: Rehabilitating Sleep

Subject: Physiology (medical)

Journal: Sleep

Publisher: Oxford University Press (OUP)

Authors: Marcia E. Braun, Nalaka S. Gooneratne

Published: 2011-12-01

Everything You Need To Know

1

Why is sleep quality important for older adults in post-acute rehabilitation?

Poor sleep quality in post-acute rehabilitation is linked to a higher risk of mortality. This is because sleep is essential for the body's repair and recovery processes. When older adults in post-acute rehabilitation, which includes care in skilled nursing facilities (SNFs) and in-patient rehabilitation facilities (IRFs), experience disrupted sleep, their bodies may not be able to heal effectively, potentially worsening their health conditions and increasing the likelihood of adverse outcomes.

2

What causes poor sleep in post-acute rehabilitation?

Several factors contribute to sleep disturbances in post-acute rehabilitation settings. Underlying sleep disorders, common among older adults, such as sleep-related breathing disorders are a significant contributor. Furthermore, the unfamiliar surroundings, environmental factors like noise and light pollution, and frequent healthcare interruptions, including nighttime checks and medication administration, can all fragment sleep. Research by Schnelle and colleagues has shown that loud noises from call bells, telephones, intercoms, and cleaning carts also play a significant role in disrupting sleep in nursing homes.

3

What is post-acute rehabilitation and why is it needed?

Post-acute rehabilitation is crucial because, with shorter hospital stays becoming the norm, more people require this type of care to regain strength and independence after an illness or injury. It includes services like physical and occupational therapy, and skilled nursing care. It can take place in settings like skilled nursing facilities (SNFs) and in-patient rehabilitation facilities (IRFs). The goal is to help patients recover and improve their quality of life after a major health event.

4

How can sleep quality be improved in post-acute rehabilitation?

You can improve sleep quality in post-acute rehabilitation by prioritizing sleep and implementing evidence-based strategies. While the article does not specify the exact strategies, the implication is that creating a more sleep-friendly environment, managing noise and light, minimizing unnecessary nighttime interruptions, and addressing underlying sleep disorders could make a real difference for patients.

5

What are the implications of poor sleep quality for older adults in post-acute rehabilitation?

The impact of sleep quality on older adults in post-acute rehabilitation is significant. Studies show a strong link between poor sleep and increased mortality risk. This means that when older adults in SNFs or IRFs don't get enough quality sleep, they face a greater chance of death. This highlights the critical need to address and improve sleep quality to support better health outcomes and recovery in these settings. Sleep disturbances can also hinder the effectiveness of treatments and therapies.

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